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General NPI Number Information
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NPI Number | 1932118916
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Entity Type | Organization
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Legal Business Name | ANCIRO PSC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 754 S HIGHWAY 27
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City | SOMERSET
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State | KY
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Zip | 42501-3509
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Country | US
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Telephone | 606-677-6787
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Fax | 606-451-0035
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Provider Business Mailing Address
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Address Line | PO BOX 997 754 S HWY 27
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City | SOMERSET
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State | KY
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Zip | 42502-0997
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Country | US
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Telephone | 606-677-6787
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Fax | 606-451-0035
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MS. AMY RENEE CATHERS
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Credential |
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Telephone | 606-677-6787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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